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General NPI Number Information
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NPI Number | 1639573645
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Entity Type | Organization
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Legal Business Name | A BETTER CHOICE, LLC
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 8621 SANDY PLAINS DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-8617
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Country | US
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Telephone | 813-368-0673
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 W PALMETTO ST SUITE D
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City | FLORENCE
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State | SC
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Zip | 29501-3938
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Country | US
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Telephone | 813-541-0087
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JERALYN GAY
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Credential |
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Telephone | 813-541-0087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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